Pet Insight Project Authorization to Disclose Pet Medical Records:
By checking the box below, I confirm that I am the owner of record of the pet(s) for which I am selecting a
Whistle device and other pets in my household treated at Banfield Pet Hospital. I knowingly and voluntarily
authorize and consent to Banfield Pet Hospital releasing and disclosing to Whistle Labs, Inc. and any other
divisions, units, subsidiaries, affiliates or strategic partners of Mars Petcare, Inc. for use by any of
those organizations of my personal information (including my name, household name, and all contact information)
Banfield Pet Hospital has about me and any of my pets in my household AND including but not limited to all
information in the veterinary medical records for my pet(s) in my household for purposes related to the Pet
Insight Project. If I do not provide my consent, I understand it will not affect the commencement, continuation,
or quality of veterinary medical care provided by Banfield Pet Hospital to any of my pet(s).
I also understand that by consenting to the above that Banfield Pet Hospital, Whistle Labs and other divisions,
units, subsidiaries, affiliates or strategic partners of Mars Petcare, Inc. (Mars Petcare) will include this
information in a database for the Pet Insight Project and may share and allow the use of this data (in a
de-identified manner that doesn’t include identifying information such as name and address) by researchers
outside of Mars Petcare who are involved in improving pet health.